Provider Demographics
NPI:1104787571
Name:BRIXIUS, ERIQA ANATOLAE
Entity type:Individual
Prefix:
First Name:ERIQA
Middle Name:ANATOLAE
Last Name:BRIXIUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 COUNTY ROAD 3376
Mailing Address - Street 2:
Mailing Address - City:KEMPNER
Mailing Address - State:TX
Mailing Address - Zip Code:76539-3677
Mailing Address - Country:US
Mailing Address - Phone:512-629-9266
Mailing Address - Fax:
Practice Address - Street 1:1647 COUNTY ROAD 3376
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539-3677
Practice Address - Country:US
Practice Address - Phone:512-629-9266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst